{extends file="../acp.html"}

{block name="title"}{$head_title}{/block}
{block name="content"}
<form id="J_FormArticle" action="" method="post">
<div class="formitems inline">
    <label class="fi-name"><span class="colorRed">*</span>原因：</label>
    <div class="form-controls">
        <input type="text" placeholder="" class="xlarge" name="reason" id="reason" value="{$refund_info.reason}">
        <span class="fi-help-text hide"></span>
    </div>
</div>

<div class="formitems inline">
    <label class="fi-name"></label>
    <div class="form-controls">
        <input type="hidden" name="act" value="{$act}" />
        <input type="hidden" name="reward_refund_reason_id" value="{$refund_info.reward_refund_reason_id}" />
        <button type="submit" class="btn btn-blue"><i class="gicon-check white"></i>保存</button>
    </div>
</div>
</form>
{/block}